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Triple Complex Glucose Control™
Homeopathic remedy to balance sugar levels in the blood
- Support sugar levels already within the normal range
- Improves energy levels and stamina
- Lessens cravings for sugary foods and improves metabolism
- Promotes pancreatic and liver functioning
- Supports systemic balance on a cellular level
- Price: $27.95
- Price: $55.90
- Save $27.95 (33%)
… My doctor says he will recommend your products to his patients in the future as he did not believe that they would work so well!- John J.
What is Triple Complex Glucose Control?
Triple Complex Glucose Control is a safe, non-addictive, natural remedy containing 100% homeopathic ingredients to balance sugar levels in the blood and pancreas that are already within the normal range. It's a combination of three, cellular-supporting biochemic tissue salts and may be taken at the first signs of low energy or sugar cravings for effective help.
Triple Complex Glucose Control is taken internally to support the efficient functioning of the pancreas and endocrine system, and to increase energy levels by maintaining routine balance and normal range blood sugar levels in the body. Presented in liquid form, Glucose Control is easy to ingest and hassle-free with no artificial colors or preservatives.
Due to its unique homeopathic formula, Triple Complex Glucose Control is safe for all ages, as well as during pregnancy and nursing. Triple Complex Glucose Control is also a great complementary remedy to herbal Insulate Plus™, which maintains healthy blood sugar levels to further minimize cravings. Taken together, this herbal + homeopathic approach to pancreatic health can safely and effectively support sugar levels within the normal range, improve energy and stamina, and promote systemic balance on a cellular level.
All Native Remedies homeopathic products and biochemic tissue salts are manufactured in an FDA and GMP registered pharmaceutical facility under the supervision of qualified homeopaths and responsible pharmacists. Individual ingredients are listed in the Homeopathic Pharmacopoeia of the United States (HPUS).
Nourish your blood
The body uses the bloodstream to distribute nutrients to cells and organs, and there should always be a certain amount of glucose circulating in the bloodstream. Glucose (a sugar) is the main fuel of the body and, using the bloodstream, it delivers the energy the body needs to function.
Insulin is a hormone that helps regulate blood sugar levels. It is produced by the pancreas, which is an organ close to the stomach. It acts like a key, opening the way for the glucose coming from the food we eat to enter the cells. There it is transformed into the energy the body needs while maintaining blood sugar range within the specific normal, healthy levels. In order for the body to produce sufficient insulin, the pancreas and the endocrine system need to be functioning normally.
The natural way
Eating at regular intervals during the day and making sure meals are healthy can go a long way in supporting blood sugar levels. Vitamins, minerals and other nutritional substances are also all important building blocks of systemic health.
Due to modern lifestyles, farming methods and fast food mentalities, many people are missing essential vitamins and other nutritional substances from their diets, and need to take supplements on a daily basis.
While many people recognize this and supplement with daily vitamins, there are other nutritional building blocks that are overlooked – and that are valuable and essential for cellular health. Amongst these are minerals or tissue salts – vital components for cellular health.
What are the Ingredients?
Triple Complex Glucose Control is 100% homeopathic and contains the following ingredients: Calc phos (8X), Kali sulph (6X), Nat sulphuricum (6X).
- Calc phos (8X) is a major mineral component of every structure in the body, except connective tissue. It is a vital component of the body's nutrition process from digestion, through to assimilation, cell growth and energy expenditure. Calcium phosphate is present in the process of building new blood cells, therefore helping the body to put into practice the necessary functions to keep blood circulation flowing, keeping the body warm. This tissue salt is also present in all body fluids.
- Kali sulph (6X) is involved in maintaining efficient distribution of oxygen to the cells and tissues of the body – supporting optimum performance to assist with the functioning of the immune system. As it supports the transportation of oxygen to the skin and glands, it also promotes circulation. Kali sulph is especially present in the cells forming the mucus lining of all bodily organs, including the pancreas and stomach.
- Nat sulphuricum (6X) supports fluid balance at a cellular level, helping to maintain balance of water in all cells, tissues, blood and other body fluids. It also acts as a natural system "cleanser" – supporting routine removal of toxins from the fluid surrounding every cell of the body.
This homeopathic remedy is an OTC medicine registered with the Food and Drug Administration (FDA).
Native Remedies is the leading brand of natural remedies known for safe, effective and quality products. Our remedies are formulated by natural health experts and produced under the highest pharmaceutical standards in FDA-registered, GMP certified facilities. We utilize the finest quality ingredients that are officially monographed in the Homeopathic Pharmacopoeia of the United States (HPUS).
Native Remedies homeopathic products and biochemic tissue salts never contain any animal products, gluten, artificial colors, flavors or preservatives, and are not tested on animals. Our products are always backed by our One Year Unconditional Money Back Guarantee.
How do I use Triple Complex Glucose Control?
Mix drops in 1/4 cup of water and sip slowly or put drops directly into the mouth.
For all ages:
Acute: Take 0.25 mL or 0.50 mL every hour for up to 10 servings or until symptoms subside.
Chronic or maintenance: Take 0.25 mL or 0.50 mL 3 times daily.
Note: For additional pancreatic and endocrine system support, try Insulate Plus, which helps maintain healthy blood sugar levels to minimize cravings.
Triple Complex Glucose Control is a homeopathic remedy and is safe for all ages and during pregnancy and breastfeeding. May also be taken along with prescription medicine.
Caution: If symptoms persist or worsen, a healthcare professional should be consulted. If pregnant or breastfeeding, ask a health professional before use. Keep this and all medicines out of reach of children.
How long until I see benefits?
People can differ widely in their benefit times to tissue salts depending on individual makeup, lifestyle and diet. Some may experience a general feeling of wellness within hours or days, while for others it may take longer before a benefit is felt.
Benefits are achieved when Triple Complex Glucose Control is used consistently along with a healthy lifestyle.
Get optimum benefits with regular use
The natural ingredients in our remedies support overall health and functioning (rather than just suppressing symptoms).
People respond to natural remedies in different ways. Some of our satisfied customers experience immediate benefits while many others have reported optimal benefits taking effect within 3-6 weeks. It is important to take natural remedies as directed and remain consistent. You may also find that a smaller maintenance amount is beneficial for ongoing support. Many customers report taking a regular maintenance amount for continued health and well-being.
How long will a bottle last?
One 59 mL bottle of Triple Complex Glucose Control will last approximately 39-40 days, depending upon the amount taken and the frequency of use.
How has Triple Complex Glucose Control helped others?
"Since taking your Triple Complex Glucose Control… I have felt much better and less tired all the time."
—Bradley C.
"Taking Insulate Plus and Triple Complex Glucose Control together as you advised me has helped my system tremendously. My doctor says he will recommend your products to his patients in the future as he did not believe that they would work so well!"
—John J.
Triple Complex Glucose Control™
Homeopathic remedy to balance sugar levels in the blood
- Support sugar levels already within the normal range
- Improves energy levels and stamina
- Lessens cravings for sugary foods and improves metabolism
- Promotes pancreatic and liver functioning
- Supports systemic balance on a cellular level
- Price: $27.95
- Price: $55.90
- Save $27.95 (33%)


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Sherrie Binkley Officiant Services26 Reviews
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Nashville, TN | 615-512-6842
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Christmas Decorations
'Tis the season to go bigger and brighter with our collection of traditional and not-so-traditional Christmas Decorations. We'll help you add sparkle to any room in your house or create an outdoor light show that's sure to make you the envy of the neighborhood.
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one button jacket
Top off your look with this chic jacket. Long sleeve jacket with single-button closure. In a lightweight knit. Looks great paired with your favorite jeans, or dressed up for work!
- 68% rayon, 27% nylon, 5% spandex
- Imported
- Hand wash in cold water.
- Do not use chlorine bleach.
- Hang to dry.
- Iron at low setting.


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GREENVILLE, N.C., Feb. 8, 2014 – The James Madison men's tennis team won four singles matches on its way to a 4-3 win over Georgia Southern on Saturday. The match was played at East Carolina's ECU Indoor Tennis Center.
JMU improved its spring season dual record to 2-1 with the win, while Georgia Southern remained winless, dropping to 0-6.
The Dukes took the top three singles matches, including Robert Stirling's (Caboolture, Australia/St. Columban's College) three-set win over Oliver Webb in the No. 1 spot. After dropped the first set 6-4, Stirling bounced back with 6-4 and 6-2 wins.
At No. 2 singles, freshman Sebastian Salinas (Merida, Mexico/Preparatoria Abierta SEP) topped Albert Codina Sala in straight sets. Salinas took the first set 6-3 and clinched the match with a 6-4 win in the second set.
Freshman Miljan Ruzic (Sydney, Australia/St. Euphemia College) had to bounce back from a tough 6-5 loss in the first set at No. 3 singles. He responded with 6-2 and 6-4 wins in the final two sets to edge Nico DeGroof.
Maxi Branth (Stockholm, Sweden/Tullinge Gymnasium) rounded out the Dukes' winners in singles play, cruising to a 6-4, 6-1 win over Christian Kerrigan at No. 5 singles. Branth improved to 12-5 on the year.
Ruzic and Stirling teamed up for JMU's lone doubles win. The pair eased past Kyle Hoffman and Rafael Racy 6-1.
JMU continues play at East Carolina on Sunday when the Dukes take on the host Pirates at 11 a.m.
Singles Results
No. 1 – Robert Stirling (JMU) def. Oliver Webb (GSU) 4-6, 6-4, 6-2
No. 2 – Sebastian Salinas (JMU) def. Albert Codina Sala (GSU) 6-3, 6-4
No. 3 – Miljan Ruzic (JMU) def. Nico DeGroof (GSU) 5-6, 6-2, 6-4
No. 4 – Marco Osorio (GSU) def. Brett Moorhead (JMU) 3-6, 6-5, 10-7
No. 5 – Maxi Branth (JMU) def. Christian Kerrigan (GSU) 6-4, 6-1
No. 6 – Rafael Racy (GSU) def. Niels Kathol (JMU) 4-6, 6-3, 10-7
Doubles Results
No. 1 – Miljan Ruzic/Rob Stirling (JMU) def. Kyle Hoffman/Rafael Racy (GSU) 6-1
No. 2 – Nico DeGroof/Marco Osorio (GSU) def. Alex Berdnikoff/Niels Kathol (JMU) 6-0
No. 3 – Oliver Webb/Christian Kerrigan (GSU) def. Brett Moorhead/Sebastian Salinas (JMU) 6-4


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On Saturday I had the great opportunity to attend the interfaith gathering praying for the homeless, sponsored by the Metro-East Interfaith Partnership, at St. Luke's Hall in Belleville. What a wonderful event celebrating that, regardless of one's religious or non-religious or cultural bent, we can all have a common goal to ensure the dignity and comfort for all people.
However, along with prayer comes the responsibility for all of us to take an active part, however we can, to make this happen -- from a simple act of supplying toiletries to blankets, food and other essential needs, we can all do something.
There is a great need for one-on-one contact to meet the need for compassion, understanding and encouragement.
For more specific involvement, one could access the website at www.metroeastinterfaith.org.
Anne Harter


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"Customer service is priority #1 at Rocky Mountain ATV/MC. We value our customers and strive to be the best shopping experience- when you buy from us, you are buying lifetime service."
-Dan Thomas, CEO and Founder
We take pride in offering no hassle returns. In the event of a return, please call, email or chat with us to receive a solution to the problem. For apparel that doesn't fit quite right, Click here to see our Fit Guaranteed Program.
We will stand behind all products we sell with regards to manufacturing defects in workmanship and material. Most products are limited to the manufacturer's warranty. However, we will do everything in our power to take care of the problem.
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Comments On Jan 13, 2014:Used on 2008 Yz450F and 2007 KX450F. Used on Forks and Shock re-builds. Makes new parts slip on nice and easy
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Comments On Oct 16, 2012:would buy again
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Comments On Sep 11, 2012:Use it every time I service the forks or clean the seals and wipers. Has very little stiction and never any issues.
Seems a little pricy for such a small tub but you don't use much and it will last a long time.
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Comments On Jun 08, 2012:I used this grease to replace the fork seals on my YZ250 and my WR450F and it helped out a lot. The grease is not your average grease and really aids in assembly.
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Comments On Apr 23, 2012:If you're going to do your own fork seals buy this product. One small container will do several fork seal services.
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Comments On Apr 02, 2012:Easy to use, does not come in tube like pictured. Comes in a twist off container and works great to lube the fork seals and bushings.
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Comments On Sep 16, 2011:can use any grease for cheaper
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Comments On Apr 10, 2011:I used this stuff for two seal installs recently and it did seem to help with getting the fork & dust seals onto the for over the bushing grooves. I also use a plastic sandwich baggy over the fork (cut the zip-lock part off) and slide the seals onto the fork over those. The baggy works in a pinch. I then put grease all over the fork seal again and drove it up into place. The video's Rocky Mtn has on-line are very worthwhile to watch.
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Comments On Sep 28, 2010:must have grease for changing seals works great!
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Comments On Jul 26, 2010:did a great job of lubricating the seals into their position. The little container is good for probably at least 2 or 3 fork seal jobs. I used quite a bit.
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NICE International projects
NICE has a track record of successful international collaborations in health technology assessment and clinical guideline development. NICE has worked with fellow policy-makers and academics from over 60 countries. In addition to government sources, NICE has received funding from the World Bank, the World Health Organisation, the UK's Department for International Development and charitable foundations such as the Commonwealth Fund (USA) to undertake policy analyses and offer policy advice.
NICE is a member of the Guidelines International Network (GIN) and HTA International and is a project partner in the Appraisal of Guidelines Research and Evaluation (AGREE) initiative for guideline quality assessment. Furthermore, NICE's Centre for Public Health Excellence has supported the work of the WHO Commission on Social Determinants of Health.
Browse project by year: 2013 | 2012 | 2011 | 2010 | 2009 | 2008 | 2006 | 2004
- Qingdao Health Bureau and NICE sign a Memorandum of Understanding
February 2014
- NICE signs memorandum of understanding with South Korea´s National Evidence-based Healthcare Collaborating Agency
February 2014
- Upcoming NICE International technical assistance activities in India
January 2014
- NICE International attended the kick off meeting of the International knowledge network for nutrition in Africa
January 2014
- NICE International at the Annual Meeting of the Secretariat for Science and Technology of Brazilian Ministry of Public Health
December 2013
- NICE International visits Cuba to scope out partnerships between NICE and the National Health System of Cuba
November 2013
- NICE International is supporting Quality Standards for stroke, and HTA development in Vietnam
November 2013
- NICE International attended and contributed to the Ghana National Health Insurance Scheme´s 10th anniversary conference, themed "Towards Universal Health Coverage: Increasing Enrolment Whilst Ensuring Sustainability"
November 2013
- NICE International carries out a scoping visit in Accra, Ghana
October 2013
- NICE International leads an introductory workshop on the application of HTA in priority setting in Manila, Phillippines
October 2013
- The launch of the Asia-Pacific Regional Capacity-Building for HTA Initiative (ARCH)
October 2013
- Vietnamese Health Minister visits NICE
October 2013
- Ministry of Health of Sri Lanka visit NICE to understand the process of establishing and maintaining a quality assurance system in the areas of maternal, neonatal care and family planning.
October 2013
- NICE International participated in a three-day training workshop in Tagatay, Philippines
- NICE International attended the fifth monthly review meeting of the pilot implementation of the Quality Standard (QS) for improving maternal health in maternity hospital in Trivandrum, Kerala.
September 2013
- NICE meets with major partners and publicises NICE´s work in the rural health reforms - Beijing, China
September 2013
- NICE international visits the Indian state of Odisha
September 2013
- NICE International visits Cuba to take part in the Lancet meeting on universal health coverage
July 2013
- NICE International represented at 2nd Latin American Forum for Quality Improvement and Patient Safety, Cartagena, Colombia
June 2013
- NICE International visits Chinese Provinces as part of supported guideline project
June 2013
- NICE international delivered a two-day introductory course on Technology Appraisal, Clinical Guidelines/Pathways and Quality Standard in Vietnam
May 2013
- NICE International meet key stakeholders and senior partners involved in the Z-(benefit)package in the Philippines
May 2013
- NICE international visits the Philippines with colleagues from HiTAP
March 2013
- NICE International meets with Ecuadorian policy makers in Quito
- Implementing the quality standard on maternity care
- Quality Standard Working Group to finalise quality standards
December 2012
- Fifth Forum of Government Sponsored Health Insurance Schemes in India
December 2012
- Health Technology Assessment and the role of NICE in the UK. A workshop held in Moscow
December 2012
- NICE International, as part of the work of the JLN Quality Track carried out scoping visits to the Philippines and Vietnam.
December 2012
- Three day workshop in Brasilia
November 2012
- China National Development and Reform Commission (NDRC) visit NICE
November 2012
- Delivered a one-day workshop on the EQ-5D to researchers and officials from the China National Health Development Research Center (CNHDRC) and academics from Beijing and Nanjing
November 2012
- Clinical pathways and payment reform project launched in China
November 2012
- NICE International hosted a high level delegation from Ministry of Health of Mexico
November 2012
- CGD report on priority setting institutions jointly launched in China at the 2nd Global Symposium on Health Systems Research
November 2012
- 3rd annual health policy conference in collaboration with Renmin University, China
September 2012
- Guest speaker at the Emerging Kerala conference in Kochi, India
September 2012
- As part of ongoing work with federal level healthcare organisations in India, delivered the inaugural lecture of the 'Frontiers in Public Health' lecture series at the National Health Systems Research Centre, New Delhi
August 2012
- Workshops on developing standards for maternal care in conjunction with the government of Kerala, India
August 2012
- Contributed to an international symposium on Health Technology Assessment (HTA) in Taiwan
July 2012
- Developed and launched the report "Priority-Setting in Health: Building Institutions for Smarter Public Spending" and a related peer-reviewed journal article. The report was developed in collaboration with the Center for Global Development, USA, and calls for an interim secretariat to incubate a global health technology assessment facility designed to help governments develop national systems and donors get greater value for money in their grants.
June 2012
- Preparatory meeting on developing measures for reducing maternal mortality in Kerala
June 2012
- Workshop on clinical guideline development and implementation in Hyderabad, India in association with the Aarogyasri Health Care Trust
June 2012
- Workshop in Mumbai, India on developing clinical guidelines for maternal care
June 2012
- Hosted a delegation from the Taiwanese Center for Drug Evaluation and Bureau of National Health Insurance
May 2012
- International Clinical Practice Guidelines Symposium and GRADE workshop in Lanzhou, China
May 2012
- Scoping visit and results based financing workshop in Sri Lanka
May 2012
- Hosting a study tour to NICE from the Albanian Health Insurance Institute
March 2012
- Assessing a performance-based contracting scheme in Turkey
February 2012
- Third workshop on clinical guideline development at Javeriana University, Colombia
August 2011
- Leading a technical quality initiative in collaboration with the Institute for Health Improvement (IHI) as part of the Joint Learning Network
August 2011
- Building capacity for clinical guideline development with Colombian Universities
April 2011
- NICE International scoping visit to Vietnam: opportunities for NICE International engagement in the country´s national health reform efforts
January 2011
- Exploring the potential for strengthening paediatric guideline development in Kenya
November 2010
- Health technology assessment course and policy workshop in Brazil
November 2010
- Raising awareness of sustainability in care programmes amongst Georgian policy makers
October 2010
- International conference on assessment and approval of medicine and healthcare technology at Renmin University, Beijing, PR China
July 2010
- NICE International scoping visit to the Democratic Republic of the Congo
June 2010
- Piloting clinical guideline development in Georgia
April 2010 - Februay 2011
- Supporting the evaluation of Clinical Pathways in rural China
March 2010
- Assisting the Colombian Ministry of Social Protection in identifying effective policy options to increase the quality and efficiency of care
September 2009
- Helping develop a clinical guideline in Turkey
April 2009 - June 2010
- Signed a Memorandum of Understanding with the Ministry of Health of China
October 2009
- Contributing to the development of clinical guidelines in the Indian state of Kerala.
October 2009
- Piloting the development of an evidence-based care pathway: pharmacological treatment of adults with essential hypertension in a primary care setting in Jordan
June 2009 - August 2009
- Workshop in Hyderabad, India for senior clinicians, policy makers and government officials
August 2009
- Helping build health economics capacity at the Colombian Ministry of Social Protection
June 2009
- Analysing comparative effectiveness research models across different countries
July 2009
- Comparative Effectiveness Research in the USA: contributing to the discussion
June 2009
- Evidence Based Medicine Symposium in the Kingdom of Bahrain (jointly organised by The Cochrane Collaboration and NICE)
June 2009
- Using Evidence to Inform Policy and Practice in Healthcare: a 3-day workshop and strategic policy meeting in Jordan
March 2009
- Evaluating a new HTA agency in Thailand
March 2009
- Furthering capacity of Health Technology Assessment in Estonia: Using evidence to make better decisions
October 2008 - February 2009
- Offering training and process advice to the Estonian Health Insurance Fund
October 2008 - February 2009
- NICE International has completed a project to explore possible collaborations with the Governments of Jordan, Ghana and Columbia. The project was funded by the UK's Department for International Development (DfID). Read NICE International's full report to DfID
August 2008 - February 2009
This page was last updated: 04 March 2014


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SAN ANGELO, TX – North Georgia College
& State University's Alan Schmitz shined Friday afternoon
on the national stage, placing second in the preliminary heat at
the 2009 NCAA Division II Outdoor Track & Field Championships,
advancing to the finals and a chance to race for a National
Schmitz placed second in the second preliminary heat of the day, finishing the 800-meter race in 1:51.67 to grab the automatic qualifier to the finals. The senior is now one of eight athletes who will compete for the 800-meter NCAA Division II National Championship race Saturday evening at 8:46 p.m. Eastern Standard Time.
The Warner Robbins, Ga., native will enter the Championship race as the 6th seed, while Michael Wickman of Cal State Chico will claim the top spot in the finale with an automatic qualifying time of 1:50.02 in the opening heat of the day.


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With Ocean Frontiers and Compass Point Dive Resort.
If you are the kind of person who like beaches, islands and the water, then you should definately consider scuba diving on your next vacation. Maybe you are looking to share a new hobby with your, partner, friends or family... Why not take a Learn to Dive Vacation and explore the other 70% of the planet?
We are offering a "Learn to Dive Vacation" special that promises to deliver a lifetime of memories for you and your family or friends to treasure.
Stay at our luxury Oceanfront condominiums and Learn to dive in the beautiful clear warm waters of the Caribbean. If you are already a scuba diver then why not come and enjoy rolling out of bed and onto the waiting dive boat and explore the breathtaking wall dives and pristine Coral Reefs that the East End of Grand Cayman is renowned for. Perhaps you dive but your partner, children or friend does not. Then why not combine the two and enjoy a shared hobby.
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5 nights stay in an oceanfront condominium
4 days of two tank dives for the certified divers or PADI E-learning open water course and a two tank dives when certified.
Car rental for the entire stay
Prices start from only $ 960.00 for the certified diver and $999.00 for the learn to diver. for a stay up until 19th December 2013
Prices are based on double occupancy in a one bedroom oceanfront condominium including tax. Addittional nights can be arranged as well as alternative rates based on room type.
*Please note that the above cost does not include the PADI fees of $130 which are payable online when you sign onto the program.


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- Agricultural Chemistry
- Agricultural Education
- Animal Health
- Dairy and Commodity Regulation
- Food and Nutrition
- Marketing and Development
- Organic
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- Sire Stakes
- Soil and Water Conservation Program
- State Agriculture Development Committee
- State Board of Agriculture
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Fertilizer and Soil Conditioner Tonnage Report
Feeding Stuff Tonnage Report
Liming Materials Tonnage Report
- Agricultural Education
Chapter Officer Leadership Training Conference Registration form (23K PDF)
Interscholastic Career Development Events Registration form (6.4K PDF)
- Animal Health
Animal Health Directory
Dead/Sick Bird Call Form (PDF)
4-H Poultry, Rabbit, or Cavy Health form (13K PDF)
Neurological Disease Worksheet (66K PDF)
Humane Investigations
Complaint Form - Print Version (27K PDF)
Complaint Form - Online Version (126K DOC)
National Animal Identification System
Premise Registration Form (96K PDF)
New Jersey State Animal Response Team (NJ SART)
Veterinarian and Veterinary Technician Recruitment Information (24K PDF
NJ SART Veterinarian Registration Form (20K PDF)
NJ SART Veterinary Technician Registration Form (21K PDF)
- Dairy and Commodity Regulation
Notice of Intent By Store to Change Dealers [DDI-43] (71K PDF)
Notice of Intent to Serve (Wholesale Accounts) [DDI-10] (66K PDF)
Notice of Intent Add or Change Suppliers [DDI-11] (67K PDF)
Notice to Discontinue Service [DDI-13] (55K PDF)
Notice to Change Dealers [DDI-16] (40K PDF)
Dealers Notice to Dairy Farmer of Intent to Stop Purchasing [DDI-17]
New Jersey Milk Dealers Monthly Report (F.O. #2 and #4)
Dealers Monthly License Fee Transmittal (DDI-42)
Dairy Bond Form
Request for Assistance
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Commission Merchant Bond Form (Produce) (21K PDF)
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Implementation Plan for School Breakfast Program [147] (30K XLS)
Instructions for Completing Implementation Plan for School Breakfast Program [148] (22K PDF)
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Contracting for School Food Service Management [355] (43K PDF)
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Food Service Advisory Committee Sign Sheet [288] (53K DOC)
How to Calculate a Cents Per Meal Food Service Management Company Fee [248] (41K PDF)
Steps & Procedures for Privatization of School Food Service[36] (41K PDF
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Free/Reduced Price Application Determination Forms
Income Eligibility Guidelines 2013-2014 [127] (62K PDF)
HH Incomplete Application [64] (43K DOC)
Sample Letter to Notify the Household of Incomplete Application in Spanish [64S] (36K DOC)
Notify HH Eligibility Status [70] (48K DOC)
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Sharing information with Other agencies [124] (35K DOC)
Sharing Information with Other agencies in Spanish [124S] (30K DOC)
Benefit Issuance Document BID [128] (34K XLS)
Documentation for Homeless Students [146] (21K XLS)
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text:
Diabetes Mellitus
Diabetes Mellitus
Diabetes mellitus (DM) is a chronic disease in which there is an insufficiency of the hormone insulin or a resistance to the actions of insulin, or a combination of both.
Diabetes mellitus, perhaps more than any other disease, is strongly associated with Western culture and diet. DM is the most common of the serious metabolic diseases of humans. It is a chronic disorder of carbohydrate, fat and protein metabolism characterized by fasting hyperglycemia, glycosuria, and a greatly increased risk of atherosclerosis, microangiopathy, nephropathy and neuropathy.
The disease takes two primary forms:
Insulin-Dependent Diabetes Mellitus (IDDM, juvenile-onset, or Type 1) a ketosis-prone type of diabetes associated with histocompatibility antigens, beta-cell destruction and islet cell antibodies.
Non-Insulin Dependent Diabetes Mellitus (NIDDM, adult-onset, or Type 2) - a nonketosis-prone type of diabetes that is not secondary to other diseases. NIDDM has been subdivided into two subgroups: obese NIDDM and nonobese NIDDM.
Table 1 lists the typical characteristics of the two major clinical types of DM, Types 1 and 2.
Table 1. Characteristics of Diabetes Types 1 & 2
Characteristic IDDM NIDDM -------------------- ------------------ -------------------- Age of onset Typically <25 Typically >40 Body build Lean 90% obese Ketosis Yes No Islet cell antibodies Present at onset Absent HLA association Positive Negative Family history Minimal Marked Insulin secretion Decreased Normal or increased Excessive urination & thirst ++ + Weakness or fatigue ++ + Excessive hunger with weight loss ++ - Recurrent blurred vision + ++ Vulvovaginitis or vulvar itching + ++ Peripheral neuritis + ++ Nighttime urination ++ - Often asymptomatic - ++ Predominant vascular disease Microangiopathy Atherosclerosis
The incidence of DM in the United States is estimated at 4%, of which 90% are NIDDM and the rest IDDM. The prevalence of DM is rising and is now the seventh leading cause of death in the U.S. At the current rate of increase (6% per year) the number of diabetics will double every fifteen years.
Epidemiologically, DM has been linked to the Western lifestyle and is uncommon in cultures consuming a more "primitive" diet. As cultures switch from their native diets to the "foods of commerce" their rate of DM increases, eventually reaching the same proportions seen in Western societies.
Genetic Considerations
Extensive studies of identical and non-identical twins indicate genetic factors play an important role. In insulin-dependent diabetes, when one member of an identical twin had diabetes, there was a 20-50% chance the other did. In non-identical twins, there was only a 5% chance. In non-insulin-dependent diabetes, when one member of an identical twin had diabetes, there was an almost 100% chance the other had it. In contrast, there was only a 10% chance the non-identical twin had it.
Diet and Lifestyle
Although genetics appear important in susceptibility to diabetes, environmental factors are important in its induction. Many have been identified. A diet high in refined, fiber-depleted carbohydrate is believed to be diabetogenic in susceptible individuals, while a high intake of high-fiber, complex carbohydrate-rich foods is protective.
Obesity is another significant environmental factor, particularly considering the fact 90% of NIDDM types are obese. Even in normal individuals, significant weight gain results in carbohydrate intolerance, higher insulin levels, and insulin insensitivity in fat and muscle tissue. The progressive development of insulin insensitivity is believed to be the underlying factor in the genesis of NIDDM. Weight loss corrects all of these abnormalities and either significantly improves the metabolic disturbances of DM or converts overt diabetes into subclinical diabetes.
Insulin Dependent Diabetes Mellitus
IDDM is generally acknowledged to be due to an insulin deficiency. Although the exact cause is unknown, current theory suggests it is due to an hereditary pancreatic beta-cell predisposition to injury coupled with some defect in tissue regeneration capacity. Causes of injury are most likely hydroxyl and other free radicals, viral infection and autoimmune reactions.
Alloxan, a chemical used to induce experimental diabetes in animals, is a potent beta-cell toxin, causing destruction via free-radical formation. The N-nitroso derivative of glucosamine, has now replaced alloxan as the preferred agent for destruction of beta-cells in the induction of experimental diabetes. Circumstantial epidemiologic evidence suggests dietary intake of the N-nitroso-compounds found in smoked/cured meats is diabetogenic in susceptible individuals, producing beta-cell damage by the same mechanism as streptozocin. Many other chemicals, such as the rodenticide Vacor, have also been implicated in beta-cell damage.
Viral Infection
Recent epidemiological and experimental evidence has strengthened the hypothesis of a viral cause of IDDM in some cases. A viral cause was first suspected due to the seasonal variation in the onset of the disease (October to March). During these months, viral diseases, such as mumps, hepatitis, infectious mononucleosis, congenital rubella and coxsackie virus infections are much more prevalent. Viruses are capable of infecting pancreatic beta-cells and inducing DM.
Autoimmune factors may also be etiological in many cases. Antibodies to pancreatic cells (all types) are present in 75% of all cases of IDDM compared to 0.5 to 2.0% of normals. The antibody levels decline progressively after the first few weeks of the disease, suggesting beta-cell destruction and depletion of antigenic stimulus. It is probable the antibodies to the islet cells develop in response to cell destruction due to other mechanisms (chemical, viral, etc.) when normally concealed cellular antigens are exposed. It appears that normal individuals either do not develop as severe an antibody reaction, or are more able to repair the damage once it occurs.
Non-insulin Dependent Diabetes Mellitus
Central to the pathogenesis of NIDDM is insulin insensitivity as evidenced by typically high levels of circulating insulin and the reversibility of hyperglycemia by dietary changes and/or weight loss sufficient to restore insulin sensitivity.
Considerable experimental and epidemiological evidence now indicates chromium levels are a major determinant of insulin sensitivity.
Chromium, an essential micronutrient, functions as a cofactor in all insulin-regulating activities. Its deficiency is wide spread in the U.S. For more discussion, see Nutritional Supplements.
One importance of obesity in the etiology of diabetes is without dispute.
Obesity is associated with insulin insensitivity, and adipose size and distribution also seem to be important.
Weight loss, in particular a significant decrease in body fat percentage, is a prime objective in treating the majority of NIDDM patients since it improves all aspects of diabetes and may result in "cure."
Prenatal Factors
Recent epidemiological evidence has begun to support the concept prenatal malnutrition, in particular hyperglycemia, may be a promoter of DM, both types 1 and 2, later in life. Studies done in Berlin have shown adults born during the "hypocaloric war and post-war period (1941-48)" have significantly less DM that those born during the relatively hypercaloric years before and after. This is not a minor correlation, the data show a greater than 50% drop in the incidence of DM!
Another study shows a significantly lower incidence of childhood diabetes during periods in which maternal hyperglycemia was carefully controlled and the fetus protected from hyperinsulinism. Although the data in this study are based on a number of suppositions, they again indicate a greater than 50% drop in the incidence of childhood DM.
Signs & Symptoms
Both types
Excessive urination
Excessive thirst
Recurrent blurred vision
Juvenile onset
Weight loss
Adult onset
Usually asymptomatic, disease develops slowly
Vaginal yeast infections
Weight gain
Nutrient Depletion
Diabetic medications can rob the body of important nutrients, including:Nutritional Supplements
Chromium This mineral is essential in the body's metabolism of glucose. Chromium, in depleted levels, will not allow insulin to bind to receptor sites, preventing the clearance of sugar from the blood. Findings show that people with high insulin levels are likely to have low chromium levels, important as a consideration for individuals in the first stages of maturity-onset diabetes. When diabetics supplement chromium, both sugar and insulin levels decrease.
Magnesium Studies have demonstrated a relationship between magnesium deficiency and insulin resistance. An American Diabetes Association panel concluded that magnesium may play a role in insulin resistance and carbohydrate intolerance. Low dietary intake of magnesium may produce irritability, nervousness and less than optimal levels of neuromuscular control.
The incidence of hypomagnesemia is 25% to 39% among patients with diabetes.
Vitamin B 6 Studies have shown that B-6 supplementation may help repair eye problems associated with diabetes. Low levels of B-6 might create headaches, dizziness, numbness and irritability.
Diabetic medications may also affect the levels of manganese.
Ellis, J. M., et al: A deficiency of vitamin B6 is a plausible molecular basis of the retinopathy of patients with diabetes mellitus, Biochem. Biophys. Res. Commun., Vol. 179, No. 1, 1991, pp. 615-619.
Mahan, K. & Escott-Stump, S: Krause's Food, Nutrition and Diet Therapy. Saunders, 1996.
Schnack, C.H.: Hypomagnesemia in Type II (Non-Insulin-Dependent) Diabetes Mellitus., Diabetologia, 1992;35:904-905.
Tinker-LF; Heins-JM; Holler-HJ. Commentary and translation: 1994 nutrition recommendations for diabetes. Diabetes Care and Education, a Practice Group of the American Dietetic Association [see comments] J-Am-Diet-Assoc. 1994 May; 94(5): 507-11.
Dietary Considerations
Dietary modification and treatment is fundamental to the successful treatment of DM. The incidence of DM is highly correlated with the fiber-depleted, high-refined carbohydrate diet of "civilized" man.
Reestablishing a healthy diet and lifestyle reverses the carbohydrate and lipid metabolism abnormalities associated with the "foods of commerce" and eventually results in a low prevalence of DM. The epidemiological evidence indicting the Western diet and lifestyle as the ultimate etiological factor in DM is overwhelming.
Clinical trials of dietary treatment with a more primitive diet, high in plant cell-wall materials and complex carbohydrates and low in fat and animal products, have consistently demonstrated superior therapeutic effects over oral hypoglycemic agents, insulin (when less than 30 units per day), and other previously recommended dietary regimes (carbohydrate restriction, high protein and the ADA diet).
The high-carbohydrate, high plant-fiber (HCF) diet popularized by James Anderson has substantial support and validation in the scientific literature as the diet of choice in the treatment of DM. It is high in cereal grains, legumes and root vegetables and restricts simple sugar and fat intake. The caloric intake consists of 70-75% complex carbohydrates, 15-20% protein and only 5-10% fat, and the total fiber content is almost 100 grams per day. The positive metabolic effects of the HCF diet are many: reduced post-meal hyperglycemia and delayed hypoglycemia, increased tissue sensitivity to insulin, reduced cholesterol (but increased HDL) and triglyceride levels, and progressive weight reduction. If patients resume a conventional diet, their insulin requirements return to prior levels.
On the HCF diet, available carbohydrate calories come from grain products (50%), fruits and vegetables (48%) and skim milk (2%). Protein is provided by fruits and vegetables (50%), grain products (36%), and skim milk and lean meat (14%). The fat is derived form grain products (60%), fruits and vegetables (20%), and skim milk and meat (12%). The HCF diet is also based on the exchange system with more information and dietary guidelines available from the HCF Diabetes Research Foundation (1872 Blairmore Rd, Lexington, Ky 40502). A representative menu for the maintenance HCF diet is shown in Table 2.
Table 2. Representative Menus for the HCF and MHCF Diets
HCF Diet MHCF Diet
whole oats, 1 c oat bran cereal, 1 c whole wheat bread, 2 sl yogurt, plain low fat, 1 c skim milk, 1c blueberries, 1/2 c grapefruit, 1/2 margarine, 2 pats
Snack (morning or afternoon)
yogurt, 1/2 c apple, 1 medium fresh strawberries, 1 c whole grain flat bread cracker, 2
whole wheat bread, 2 sl brown rice, cooked, 1/2 c kidney bean and rice casserole, 1 c lentil soup, 1/2 c kale, cooked, 1 c carrot, 1 large cucumber & onion salad celery, 1/2 large potatoes, boiled, 1/2 c onion, 1/4 cup garlic, 1 clove margarine, 4 pats
whole wheat bread, 2 sl whole grain bread, 1 sl lima beans, 1/2 c peas, 3/4 c green beans, 3/4 c blackberries, 3/4 c tossed salad, 2 c tomato, 1 small broccoli, 3/4 c asparagus, steamed, 1/4 c salmon, 4 oz squash, winter, 1 c butter, 1 pat beef, roast, 4 oz margarine, 4 pats
IDDM patients have also benefited from the HCF diet. In one representative study, when 16 IDDM patients were treated with HCF diets, their average insulin requirements dropped by 38% and they demonstrated significantly lower fasting, postprandial and urinary glucose levels than matched patients on control diets.
Modified High Fiber Content Diet (MHCF): In general, the HCF Diet and/or the Low Fat Diet (Pritikin) are adequate for the treatment of diabetes mellitus. However, improvements can be made, primarily by substituting more natural (i.e., primitive) foods wherever possible in the HCF Diet and avoiding some foods that have deleterious effects. The MHCF Diet is higher in leguminous fibers than any of the other diets, limits processed grains and excludes fruit juices, low fiber fruits, skim milk and margarine.
There is substantial rationale for these modifications. Legumes are low in fat and high in complex carbohydrates and fiber and are proven effective in treating DM. Fruit juices, low fiber juices and processed grains (i.e., flour) induce a rapid elevation of serum glucose and insulin levels, and the casein in skim milk appears to raise cholesterol levels. The trans-fatty acids in margarine (and other synthetically saturated fats) also have significant injurious effects.
A comparison of the ADA (American Diabetes Association), HCF and MHCF diets is shown in Table 3. A typical menu plan for the MHCF Diet is presented in Table 2.
Table 3. Composition of the ADA, HCF and MHCF
Diets (all values in grams except ratios)
ADA HCF MHCF Protein 98 96 90 Carbohydrate 215 351 370 Simple (S) 100 94 70 Complex (C) 115 257 300 S/C ratio 0.87 0.3 0.23 Fat 83 23.5 20 Saturated (S) 19 4.7 4.0 Monounsaturated (M) 43 9.5 7 Polyunsaturated (P) 15 6.9 8 P/S ratio 0.79 1.47 2.0 Cholesterol 0.47 0.04 0.05 Fiber 27 82 100 Soluble (S) 15 67 80 Insoluble (I) 12 15 20 S/I ratio 1.25 4.47 5.0
Dietary Fiber, Guar and Pectin
Supplementation with the plant fibers guar (5 g/meal) and pectin (10 g/meal) has demonstrated a positive impact on diabetic control. These fiber supplements are now being used, along with the standard ADA diet, by many diabetologists. Jenkins and colleagues developed a palatable crisp bread containing guar gum. When diabetic patients ate between 14 and 26 grams of guar per day they required less insulin and had less glycosuria. It is interesting to note that these beneficial effects are maximal in patients on a diet containing at least 40% complex carbohydrates.
Consumption of legumes should be encouraged since a high carbohydrate, legume-rich, high-fiber diet has been shown to improve all aspects of diabetic control. The beneficial effects of legumes are primarily due to their water-soluble, gel-forming fiber components which have effects similar to those of guar and pectin.
Fiber Supplementation vs. High Fiber Diet
Although fiber-supplemented diets are beneficial, they are not as effective as the HCF diet and are therefore reserved for the NIDDM patient who is unwilling to implement the more difficult dietary change and will settle for palliative results. Insulin dosages on fiber supplemented diets can usually be reduced to one-third those used on control (ADA) diets, while the HCF diet has led to discontinuation of insulin therapy in approximately 60% of NIDDM patients, and significantly reduces doses in the other 40% .
Sugar is actually an anti-nutrient for diabetics. Sucrose must be eliminated as its consumption produces elevated plasma cholesterol, triglyceride, and uric acid levels; diminished glucose tolerance; increased platelet adhesiveness; and a change in platelet electrophoretic behavior, all of which are associated with diabetes and atherogenesis.
An appropriate exercise training program is vitally important in a DM treatment plan. It improves many parameters and is indicated in both IDDM and NIDDM. Physically trained diabetics experience many benefits: enhanced insulin sensitivity with a consequent diminished need for exogenous insulin, improved glucose tolerance, reduced total serum cholesterol and triglycerides with increased HDL levels that result in a more anti-atherogenic state and, in obese diabetics, improved weight loss.
However, a physical fitness program does present some risk to the diabetic and must be carefully adapted to the fitness of the patient. Exercise should be avoided during periods of hypoglycemia. Besides its well-known and documented value, exercise may have a more specific beneficial effect for diabetics: exercise increases tissue levels of chromium (in rats) and increases the number of insulin receptors in IDDM patients. It is possible, then, that many of the beneficial effects of exercise are directly related to improved chromium metabolism.
Homeopathic Remedy
1.*Uranium nitrate tinct. begin with 12X - 30C if needed 2. Arsenicum bromatum 30X or tincture (4 drops x day in water) 3. Helonias Dioica tinct. 6C to 30C 4. Rhus aromatica 6X 5. Uranium nitrate tinct. 30C 6. Arsenicum bromatum 30C 7. Aceticum acidum 30C
Treatment Schedule
Doses cited are to be administered on a 3X daily schedule, unless otherwise indicated. Dose usually continued for 2 weeks. Liquid preparations usually use 8-10 drops per dose. Solid preps are usually 3 pellets per dose. Children use 1/2 dose.
X = 1 to 10 dilution - weak (triturition)
C = 1 to 100 dilution - weak (potency)
M = 1 to 1 million dilution (very strong)
X or C underlined means it is most useful potency
Asterisk (*) = Primary remedy. Means most necessary remedy. There may be more than one remedy - if so, use all of them.
Boericke, D.E., 1988. Homeopathic Materia Medica.
Coulter, C.R., 1986. Portraits of Homeopathic Medicines.
Kent, J.T., 1989. Repertory of the Homeopathic Materia Medica.
Koehler, G., 1989. Handbook of Homeopathy.
Shingale, J.N., 1992. Bedside Prescriber.
Smith, Trevor, 1989. Homeopathic Medicine.
Ullman, Dana, 1991. The One Minute (or so) Healer.
Herbal Approaches
Common garlic plant / Allium sativum
Fenugreek seeds
Gymnema sylvestre
Momordica charantia (Bitter melon)
Onion plant (Allium cepa)
Pterocarpus marsupium
Note: The misdirected use of an herb can produce severely adverse effects, especially in combination with prescription drugs. This Herbal information is for educational purposes and is not intended as a replacement for medical advice.
Since antiquity, diabetes mellitus has been treated with plant extracts. Recent scientific investigation has confirmed the efficacy of many of these preparations, some of which are remarkably effective. This discussion will, of necessity, be limited to a few plants, those which appear most effective, are relatively nontoxic, and have substantial documentation of efficacy.
Allium cepa and Allium sativum
The bulbs of the common onion plant and common garlic plant, have significant oral hypoglycemic action. Experimental and clinical evidence suggests onions and garlic lower glucose levels by competing with insulin for insulin-inactivating compounds, resulting in an increase of free insulin.
The forms and quantity of onion and garlic in the diet are sufficient to have significant physiological effects. Graded doses of onion extracts (1 ml of extract = 1 g of whole onion) at levels sometimes found in the diet, i.e., 25 to 200 grams, reduce blood sugar levels during oral and intravenous glucose tolerance tests and adrenaline-induced hyperglycemia in a dose-dependent manner. The anti-hyperglycemic effects are similar in both raw and boiled onion extracts.
The cardiovascular effects of garlic and onions, i.e., lipid lowering, platelet aggregation inhibition, antihypertensive, etc., further substantiate the liberal use of these common foods by the diabetic patient.
A decoction of the leaves of the blueberry has a long history of folk use in the treatment of DM. Oral administration reduces hyperglycemia in normal and depancreatized dogs even when glucose is concurrently injected intravenously.
The glycoside myrtillin is apparently the most active ingredient. Upon injection it is somewhat weaker than insulin, but is less toxic, even at 50 times the 1 g/d therapeutic dose. It is of great interest to note a single dose can produce beneficial effects lasting for several weeks.
Fenugreek seeds have demonstrated anti-diabetic effects in experimental and clinical studies. The active principle is in the defatted portion of the seed which contains the alkaloid trogonelline, nicotinic acid and coumarin. It is believed that chronic intake of fenugreek seeds produces a vagal hypersensitization as evidenced by increased pancreatic peptide (PP) release.
Administration of the defatted seed (in daily doses of 1.5-2 g/kg) to both normal and diabetic dogs reduces fasting and postprandial blood levels of glucose, glucagon, somatostatin, insulin, total cholesterol and triglycerides, while increasing HDL-cholesterol and PP levels. Studies have not yet determined whether these effects are due to the known components, an unknown compound, or the high fiber content of the seeds.
Jerusalem artichokes have a favorable influence on blood glucose. (Rumessen , 1990)
Momordica charantia (or Bitter melon, also known as balsam pear) is a tropical vegetable widely cultivated in Asia, Africa and South America, and has been used extensively in folk medicine as a remedy for DM. The hypoglycemic action of the fresh juice, aqueous extract or dried extract of the unripe fruit has been clearly established in both experimental and clinical studies. Momordica charantia is composed of several compounds with confirmed anti-diabetic properties.
Charantin, extracted by alcohol, is a hypoglycemic agent composed of mixed steroids. Oral administration to rabbits of 50 mg/kg reduces blood sugar 42%. In other animal studies it has been found that this hypoglycemic action is reduced, but not eliminated, in animals whose pancreases have been removed, suggesting pancreatic as well as extrapancreatic mechanisms.
Momordica also contains an insulin-like polypeptide, polypeptide- P, which lowers blood sugar levels when injected subcutaneously into IDDM patients. Since it appears to have fewer side effects than insulin, it has been suggested as a replacement for some patients.
The insulin secretagogue activity of both the whole plant and some of its extracts have been confirmed in vitro, and oral administration of 50-60 ml of the juice has shown good results in clinical trials.
Pterocarpus marsupium has a long history of use in India as an indigenous treatment for diabetes. The flavonoid, (-)- epicatechin, extracted from the bark of this plant, has been shown to prevent alloxan-induced beta-cell damage in rats.
Further, both epicatechin and a crude alcohol extract of Pterocarpus marsupium have been shown to actually regenerate functional pancreatic beta-cells. No other drug or natural agent has been shown to generate this activity.
Another recent import from India is Gymnema sylvestre, which has been used for diabetes for 2,000 years. Data suggest that Gymnema regenerates and repairs the islets of Langerhans (where insulin is produced) and enhances the release of insulin in diabetic subjects.
The common name for Gymnema is "Gurmar" (meaning sugar destroyer) and it does seem to prevent the absorption and activity of glucose molecules. It does not represent a cure for diabetes but can help significantly in keeping glucose levels within acceptable limits.
Milk thistle (Silybum) may also be used, especially when there is a co-morbid condition involving the liver, to even out insulin production and assist with insulin sensitivity.
The herbal sweetener of choice is Stevia.
Newall has compiled extensive lists of both hyperglycemic and hypoglycemic herbs. It is essential to be aware of all of these herbs in order to avoid negative interactions.
Herb Effect Alfalfa Hypoglycemic, manganese, human Aloes/ Aloe vera Hypoglycemic, in vivo Burdock Hypoglycenmic, in vivo Celery Hypoglycemic, in vivo Cornsilk Hypoglycemic, in vivo Damiana Hypoglycemic Elecampane Hypoglycemic Eucalyptus Hypoglycemic, in vivo Fenugreek Hypoglycemic, human Garlic Plant Hypoglycemic, in vivo, human Ginger Hypoglycemic, in vivo Ginseng, Panax Hypoglycemic Juniper Hypoglycemic in vivo Marshmallow Hypoglycemic Myrrh Hypoglycemic Nettle Hypoglycemic Sage Hypoglycemic, in vivo Tansy Hypoglycemic, in vivo
Herb Effect Devil's Claw Contra-indicated in diabetics Elecampane Hyperglycaemic Figwort Contra-indicated in diabetics (like Devil's Claw) Ginseng, Panax Hyperglycemic Gotu Kola Hyperglycaemic, human Licorice Reduced K aggravates glucose tolerance
Akhtar, MS et al., Effect of momordica charantia on blood glucose level of normal and aloxan-diabetic rabbits. Planta Med. 1981, 42:205-212.
Keder, P & Chakrabarti, C: Effects of bittergourd (Momordica charantia) seed and glibenclamide in streptozocin-induced diabetes mellitus. Ind. J. Exp. Biol. 1982, 20:232-235.
Newall CA, Anderson LA, Phillipson JD. Herbal Medicines: A Guide for Health-care Professionals. London: The Pharmaceutical Press, 1996.
Ribes, G et al., Effects of fenugreek seeds on endocrine pancreatic secretions in dogs. Ann. Nutr. Metab. 1984:28.
Rumessen J.J., et al. Fructans of Jerusalem artichokes: Intestinal transport, absorption, fermentation, and influence on blood glucose, insulin, and C-peptide responses in healthy subjects. Am J Clin. Nutri 52 (1990): 675-68 I.
Velussi, M et al., Silymarin reduces hyperinsulinemia, malondialdehyde levels and daily insulin need in cirrhotic diabetic patients. Curr. Ther. Res. 1993, 53(5):533-545.
Vuorinen-Markkola, H et al., Guar gum and insulin-dependent diabetes: effects on glycemic control and serum lipoproteins. The Am. J. Clin. Nutr. 1992, 56:1,056-1,060.
Walji, H: Diabetes: a modern health crisis. Natural Health Series, Kian Press, 1997.
Aromatherapy - Essential Oils
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Drug Interactions
Diabetics are extremely vulnerable to any dietary excesses, or shortcomings. Unfortunately, responses are often erratic, making calculations of insulin dosages extremely tricky.Abstracts
Drugs (chiefly insulin pharmaceutical) can also impact appetite, taste and gastrointestinal functions. Specifically, so far as nutritional status is concerned:
High insulin levels seem to be related to low chromium levels.
Insulin resistance is often associated with magnesium deficiency.
Diabetics record only half the manganese levels of the normal populaiton.
Diabetics tend to excrete large amounts of zinc.
Glucose tolerance improves when supplements of vitamin B 6 are taken.
Abdel-Aziz, M.T., Abdou, M.S., Soliman, K., et al: Effect of carnitine on blood lipid patterns in diabetic patients. Nutr Rep Int 29:1071-9, 1984.
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Anonymous: Translation of the diabetes nutrition recommendations for health care institutions. American Diabetes Association. Diabetes Care, 20:106-8, 1997 Jan.
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Chakravarthy, B.K., Gupa, S., Gambhir, S.S., & Gode, K.D. Pancreatic beta-cell regeneration in rats by (-)-epicatechin. Lancet 2:759-60, 1981.
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Comments about adidas Brooklyn Nets Deron Williams Swingman Home Jersey:
I have previously owned the Rajon Rondo & Dwayne Wade mens swingman jersey's and noticed that the sizing is quite large. I typically wear a medium or large in most clothing however when I purchased the Rajon Rondo jersey in a mens medium it was extremely long. I exchanged it for a Dwayne Wade mens small which fit much better but was still slightly longer that i would have liked. When I purchased the Deron Williams jersey I decided to take a chance and order a youth XL since there was no adult XS. The fit is PERFECT! ... I am 5'9 150lbs with an athletic build. For those of you who are not 6'2 and want a slimmer fit jersey that you dont tuck in i would recommend the youth XL.


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I am not sure what you have there either because I cannot tell the dimensions of the various parts. If that is a 3/8" o.d. tube, then that may be a compression nut with the actual adapter buried in the tile.
I'm replacing an old water guzzler toilet from the 50's and ran into a water connection that I haven't seen before. It has a normal 3/8 supply tube with a plastic nut on the tank, but the bottom looks like it's either soldered or screwed into the floor. It's round and there is no compression nut like I'm used to. You can see some plier marks where someone had a wrench on it.
I attached a few pics. One is a connector I found online, which looks close. But it was for faucets and not toilets, so I'm not sure.
The plan is to replace this and add a shutoff valve at the same time. Since I have to turn off all the water in the house before doing this, I just want to make sure I know what I'm up against.
Any ideas would be appreciated. Thanks!
I am not sure what you have there either because I cannot tell the dimensions of the various parts. If that is a 3/8" o.d. tube, then that may be a compression nut with the actual adapter buried in the tile.
This makes no sense, but it looks like "K" copper sweated in a chromed brass fitting.
What's the supply piping underneath? Or is this coming up out of a slab?
There's copper pipe under the tile, but I don't really have access. Best I can tell is that a bendable 1/2" copper pipe disappears into a stud and goes up through the mud floor. The house was built in the 50's, but the plastic nut at the tank leads me to believe this work is newer. The toilet is original.
I don't think the round part sticking out is copper. It seems harder like chrome or brass, and I don't see copper color from where the wrench was put on. It is a 3/8" OD tube coming going into the round fitting at the floor.
I might try to chisel out some of the grout around the fitting and go from there. I guess it wouldn't be bad if it were the top of a nut if I can get it out, but I never saw a round fitting like that.
Unfortunately there is no shutoff valve that controls just this, so the whole house has to be off while I figure it out.
That looks like chromed brass to me screwed into a 1/2" x 3/8" c x fip adaptor (under the slab).
Take a file and scrape the chrome and you should see brass under it.
This was typical in the 1950's rural areas to have no shut off valves for toilets. (At least it was in Canada anyways)
Did they make 3/8" (iron pipe size) in chrome that was just a stub on the end without any threads? Either that, or maybe it was a normal chrome 3/8 IP nipple that someone cut? The OD of that round piece is very close to the OD of the 3/8IP nipple that's in the adjacent bathroom.
Maybe they soldered the 3/8" OD supply tube to the inside of that 3/8" pipe? Would that fit? If so, I can sweat it off but what kind of connector would I replace it with so I can have a shutoff? Can I solder something around the outside of if I scrape off the chrome?
Looks like we're thinking the same thing (I think). :-)
Any thoughts on what I should get to fix it?
Can you get access below to see what this is connected to? My thinking is to find where the line begins and redo it from there.
Depending on the ID of the pipe...cut it off 4" above the floor line with a tubing cutter and use a 1/2" or a 3/8" Comp X 3/8 Comp shutoff and a flexable supply line...it realy depends on the ID of the line...there are a few things you can do...
that looks like a 3/8 coupling imbedded in
you wouild be wise to firmly grab that coupling with vise grips and
then attempt to unscrew the above nipple,,,
then install a new 3/8 nipple into that coupling,,,
with a 3/8 straight stop...
then the rest should be easy with a flex connector
It would be nice if there were a ruler or something in the picture so we could determine what size the pipe is. Otherwise we are guessing everything from 3/8 o.d. copper to 3/8 chrome ips.
Personally, I would rather unscrew the entire chrome/brass nipple and install a shorter 3/8 nipple with a 3/8" IPx 3/8" compression valve, and the rest is easy.
The ballcock nut would usually have to have that concentric ring pushed out for it to accept 3/8" ips. That looks like 7/16" tubing.
I have some pictures to help with the scale...
The chrome pipe you see is 3/8" chromed iron pipe. I assumed the tube to the toilet was 3/8" OD, but it looks closer to 7/16". I also attached a close-up of what looks to be the riser tube soldered into the pipe coming out of the floor. The floor pipe doesn't look to be cut though. I don't know why there'd be an unthreaded end like that???
I went looking for a valve that I could put on the 7/16" tube (assuming that's the size) then I could avoid messing with the floor fitting. Am I right to look for a 7/16" compression? The closest straight valve I could fine was labeled: 1/2" Nom. Compr. x 7/16" & 1/2" Slip-Joint... I'm not exactly sure what "slip joint" means... I know about the slip-joint drain connections but not slip-joint on the supply.
If it was just tile and thinset I'd be quicker to chisel out the floor, but it's a 2" mud bed and the whole area is very solid.